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NC Department of Health and Human Services
NC Division of
Medical Assistance
 
 

Fee Schedules and Cost Reports

Financial Information for Providers

Core Billing Rates:


Announcements

DMA has been instructed by the NC DHHS Secretary to reverse the proposed rate reductions that were effective September 1, 2010.  Notwithstanding any further directives, the rates in effect as of August 31, 2010 shall remain in effect on September 1, 2010, and thereafter.  DMA is in the process of replacing the published September 1, 2010, fees schedules with the previously published fee schedules.  The Fiscal Agent has been instructed to continue with the current rates on and after September 1, 2010.  If you have any questions, please call the DMA Finance Management Section at 919-647-8231.

DMA and the DHHS Controller's Office are suspending mandatory cost reporting for providers of enhanced mental health services, community based personal care services, adult care home personal care and special care services, CAP/MR-DD services, and residential treatment facility services.


Financial Contacts

Rate Setting

919-814-0070
Fax 919-814-0037

The Rate Setting Unit is responsible for establishing reimbursement methodology and setting reimbursement rates for Medicaid-covered services.

Hospital Rate Setting

919-814-0060
Fax 919-814-0037

The Hospital Rate Setting Unit is responsible for establishing reimbursement methodology and setting reimbursement rates for Medicaid-covered hospital sevices.

Audit

919-814-0030
Fax 919-814-0031

The Audit unit is responsible for auding cost reports from nursing facilities, intermediate care/mental retardation facilities, hospital-based nursing facilities, federally qualified health centers, rural health clinics, and State-owned hospitals. Financial and statistical data are summarized from cost reports to assist DMA in administering the reimbursement to these providers and in rate setting.

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